Medical history (history of illness) represents an important component in the diagnosis of postthrombotic syndrome. Family history Social history What is your occupation? Does your job require you to stand or sit for long periods of time? Current anamnesis/systemic anamnesis (somatic and psychological complaints). What symptoms have you noticed? How long have these changes been … Postthrombotic Syndrome: Medical History
Cardiovascular System (I00-I99). Leg edema in heart failure – water retention in the legs due to heart failure. Ulcus cruris arteriosum – lower leg ulcer caused by arterial occlusive disease. Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99). Leg edema in renal insufficiency (kidney weakness). Further Leg swelling, unspecified
The following are the most important diseases or complications that may be contributed to by postthrombotic syndrome: Skin and subcutaneous (L00-L99). Ulcus cruris venosum (“open leg“) or scar as a secondary condition. Cardiovascular system (I00-I99) Pulmonary embolism – partial (partial) or complete obstruction of a pulmonary artery, mainly due to pelvic-leg thrombosis (about 90% of … Postthrombotic Syndrome: Complications
Chronic venous insufficiency (CVI) in postthrombotic syndrome can be classified as follows. According to Widmer et al, three stages are distinguished Widmer stage Description I Swelling of the legs in the evening, reversible edema (water retention)/ankle edema overnight. Local vasodilatation (spider veins) in the ankle region and above the arch of the foot. Corona phlebectatica … Postthrombotic Syndrome: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing) of skin around legs [due topossible symptoms: Corona phlebectatica – appearance of dark blue skin veins at the edge of the foot. Atrophie blanche – usually painful depigmentation of … Postthrombotic Syndrome: Examination
Laboratory diagnosis is usually not required.
Obligatory medical device diagnostics. Duplex sonography (ultrasound examination: combination of a sonographic cross-sectional image (B-scan) and the Doppler sonography method; medical imaging technique that can dynamically visualize fluid flows (especially blood flow)). Color duplex sonography (vascular ultrasound) – ultrasound examination of the vessels (arteries, veins), with which the direction of blood flow in relation to … Postthrombotic Syndrome: Diagnostic Tests
The following symptoms and complaints may indicate postthrombotic syndrome: Feeling of heavy legs, especially after long periods of sitting and standing. Painful legs, especially after long periods of sitting and standing. Cramps in the calves, hardening According to Widmer, one can distinguish the following three stages: Swelling of the legs, reversible (reversible)Corona phlebectatica – appearance … Postthrombotic Syndrome: Symptoms, Complaints, Signs
Pathogenesis (disease development) Postthrombotic syndrome (PTS) is seen after approximately 10-15 years, in 40-60% of conventionally treated patients with deep vein thrombosis (TBVT). The result is chronic blood reflux in the veins due to vein wall damage and valvular insufficiency (valve leakage). This leads to decompensation (severe dysfunction) with edema formation (water retention), fibrosis (increased … Postthrombotic Syndrome: Causes
General measures Walk and lie down a lot, sit and stand a little Cold showering of the legs should be done regularly Heat such as sauna, sunbathing and thermal baths leads to vein dilation and should therefore be avoided Measures in venous leg ulcers Cleaning of the ulcer Compression bandage Operative therapy Only if conservative … Postthrombotic Syndrome: Therapy
